Organization Active NPI

Optimal Healing Healthcare Services, LLC

  • Family Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1275173155
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OPTIMAL HEALING HEALTHCARE SERVICES, LLC
Practice address
10143 Chesapeake Bay Dr
Fort Myers, FL 33913-9184
Phone
(786) 285-2281
Fax
(239) 443-4516
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Juslain A Jonathas, ARNP
Title
Manager/Owner
Phone
(786) 285-2281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

10143 Chesapeake Bay Dr
Fort Myers, FL 33913-9184

Mailing address

10143 Chesapeake Bay Dr
Fort Myers, FL 33913-9184

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1275173155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10143 CHESAPEAKE BAY DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139184",
            "fax_number": "239-443-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10143 CHESAPEAKE BAY DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339139184",
            "telephone_number": "786-285-2281",
            "fax_number": "239-443-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALING HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "JONATHAS",
        "authorized_official_first_name": "JUSLAIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "786-285-2281",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.